Examinando por Autor "Angarita-Fonseca, Adriana"

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  • Artículo
    Acceso abierto
    Estrategia de Educación en Salud Dirigida a Personas con cardiopatias
    (Universidad de Santander, 2024-01-29) Jácome-Hortúa, Adriana Marcela; Rincón-Rueda, Zully Rocío; Angarita-Fonseca, Adriana
    Esta es una estrategia educativa digital, dirigida a personas con cardiopatías, que ayudará a conocer más sobre los factores de riesgo cardiovascular mas comunes, cada semana se desarrolla un factor de riesgo y cada día de la semana se trata un tema relacionado con este factor, por lo cual se sugiere revisar los recursos correspondientes a cada día, con el fin de que tener la oportunidad de entenderlo y analizarlo.
  • Publicación
    Acceso abierto
    Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
    (2022-02-09) Rangel-Cubillos, Diana Marcela; Vega-Silva, Andrea Vanessa; Corzo-Vargas, Yully Fernanda; Molano-Tordecilla, Maria Camila; Peñuela-Arévalo, Yesica Paola; Lagos-Peña, Karen Mayerly; Jacome-Hortúa, Adriana Marcela; Villamizar-Jaimes, Carmen Juliana; Grace, Sherry L.; Dutra de Souza, Hugo Celso; Angarita-Fonseca, Adriana; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.
  • Publicación
    Restringido
    Factores Asociados a la Participación y Adherencia de los Pacientes Revascularizados Derivados al Servicio de Rehabilitación Cardíaca Fase II de Los Comuneros Hospital Universitario de Bucaramanga
    (Universidad de Santander, 2025-02-20) Badillo-Mojica, Silvia Alejandra; Sánchez-Delgado, Juan Carlos; Angarita-Fonseca, Adriana; Hinestroza, Alfredo; Pérez, Laura Liliana; Negrete-Madera, Maria de los Angeles; Carvajal-Estupinan, Juan Fernando; Buitrago-Buitrago, Jhosman Alfonso
    Las enfermedades cardiovasculares (ECV) son la principal causa de mortalidad a nivel mundial. La rehabilitación cardíaca (RC) ha evidenciado su eficacia en la prevención de complicaciones, la mejora de la función cardiovascular en pacientes que han sido sometidos a una revascularización miocárdica. El objetivo fue determinar los factores asociados a la participación y adherencia al programa de RC fase II en los Comuneros Hospital Universitario de Bucaramanga en pacientes revascularizados entre enero a diciembre del 2022. Para ello se desarrolló un estudio de cohorte retrospectivo de 169 historias clínicas de pacientes sometidos a revascularización coronaria en el Los Comuneros Hospital Universitario de Bucaramanga (LCHUB) y que fueron atendidos por el programa de esta misma institución durante enero a diciembre del 2022. Se realizaron regresiones logísticas simples y multivariadas en donde la variable dependiente fue la participación y adherencia del 80% al programa de rehabilitación cardiaca (PRC). La mediana de edad de los pacientes fue de 64 años, siendo la mayoría hombres (78%). No hubo diferencias entre hombres y mujeres en cuanto a la participación y adherencia a los PRC. La oportunidad de participación en los PRC fue mayor en los pacientes sometidos a un bypass en comparación con aquellos que recibieron una intervención percutánea (p<0.01). Los pacientes derivados por el servicio de cirugía cardiovascular evidenciaron menos oportunidad de cumplir el 80% de las sesiones prescritas [AOR: 0.41 (IC de 0.17 a 0.98), p = 0.047] al ser comparados con aquellos que recibieron prescripción por parte del servicio de cardiología y otras especialidades. En conclusión, los sujetos sometidos a revascularización miocárdica quirúrgica presentaron una mayor oportunidad de participar en el PRC de LCHUB, no obstante, este mismo grupo de pacientes evidenciaron menor oportunidad de cumplimiento del 80% de las sesiones prescritas.
  • Publicación
    Acceso abierto
    Handgrip strength is associated with risk of falls in physically active older women
    (2022-05-13) VillamizarPita, Paula Camila; Angarita-Fonseca, Adriana; Dutra de Souza, Hugo Celso; Martínez-Rueda, Rosmary; Villamizar-García, María Constanza; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    The authors of this study inquire about the association between handgrip strength (HGS) and the risk of falls in physically active older women. A cross-sectional study was conducted on 135 women between 50 and 90 years of age who were referred for the follow-up evaluations of HGS using dynamometry and the Tinetti scale to determine the risk of falls. The mean age was 68.8 ± 8.5 years. A total of 31.9% of women had a high risk of falls, and 55% reported five or more falls in the past six months. In addition, our results indicated that grip strength decreases as risk of falls increases (minimal risk = 42.8, 95% confidence interval [CI]: 39.8, 45.8; moderate risk = 31.3, 95% CI: 29.1, 33.5; high risk = 21.9, 95% CI: 19.3, 24.6). It should be considered that in physically active women aged over 50 years, the grip strength could be a predictor of falls and risk of falls. Evaluation of grip strength is a low-cost type of assessment that can be included as a part of physical tests.
  • Publicación
    Acceso abierto
    Reliability of the scale of barriers for cardiac rehabilitation in the colombian population
    (2021-04-20) Jácome-Hortúa, Adriana Marcela; Angarita-Fonseca, Adriana; Villamizar Jaimes, Carmen Juliana; Martínez-Marín, Rocio del Pilar; Dutra de Souza, Hugo Celso; Facioli, Tábata de Paula; Sánchez-Delgado, Juan Carlos; Fisioterapia Integral
    Cardiac rehabilitation is supported by the highest level of scientific evidence. However, less than 25% of those eligible to participate in a cardiac rehabilitation program initiate it; and of these, 50% drop out prematurely. A modified Spanish Cardiac Rehabilitation Barriers Scale (CRBS) has been translated, culturally adapted and validated in Colombia, however, the reliability remains to be evaluated. This study aimed to determine the internal consistency and test–retest reliability of the CRBS in a Colombian population. In total, 193 patients (67% men, average age = 65 ± 12 years) completed the scale twice, with an average of eight days between applications. Cronbach’s Alpha and intraclass correlation coefficients (ICC) were calculated. The internal consistency of the Colombian version of the CRBS was acceptable (Cronbach’s alpha = 0.84). The ICC of the CRBS was 0.69 (95% CI 0.61–0.76); 0.78 (95% CI 0.71–0.84) when the CRBS was completed by interview; and 0.47 (95% CI 0.21–0.67) when the CRBS was self-reported. The reliability of the interview version of the CRBS was substantial in the Colombian population; however, the reliability of the self-report version was lower. The use of this scale will allow developing strategies to increase participation and adherence to cardiac rehabilitation programs.